| NPI | 1447694674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 59918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 59918) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2022-07-21 |